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Levothyroxine dose adjustment to optimise therapy throughout a patients lifetime

The authors arbitrarily (and acknowledge that it is arbitrary) recommend fasting from liquids for 4-8 hours (4 hours for no/low-carbohydrate clear liquids and 8 hours for high-carbohydrate clear liquids)

The key is working closely with your provider throughout the journey, staying consistent with weekly injections, prioritizing protein and strength training to preserve muscle mass, and giving each dose adequate time to work before deciding whether to increase